Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 01-01-2015 , and ending 12-31-2015
Name of foundation
PEOPLES BANCORP FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)138 PUTNAM STREET
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MARIETTA, OH45750
A Employer identification number

30-0222364
B Telephone number (see instructions)

(740) 674-6147
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$794,730
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 355,000
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 16,018 16,018  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 13,756
b Gross sales price for all assets on line 6a 344,198
7 Capital gain net income (from Part IV, line 2)... 13,756
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 1,500 0  
12 Total. Add lines 1 through 11........ 386,274 29,774  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 6,792 6,792   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 350 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 200 0   200
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 7,342 6,792   200
25 Contributions, gifts, grants paid....... 404,550 404,550
26 Total expenses and disbursements. Add lines 24 and 25 411,892 6,792   404,750
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -25,618
b Net investment income (if negative, enter -0-) 22,982
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 162,600 191,083 191,083
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 307,809 Click to see attachment298,301 352,801
c Investments—corporate bonds (attach schedule)....... 301,179 Click to see attachment257,229 250,846
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 771,588 746,613 794,730
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 771,588 746,613
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 0 0
30 Total net assets or fund balances (see instructions)..... 771,588 746,613
31 Total liabilities and net assets/fund balances (see instructions). 771,588 746,613
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
771,588
2
Enter amount from Part I, line 27a .....................
2
-25,618
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
643
4
Add lines 1, 2, and 3 ..........................
4
746,613
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
746,613
Form 990-PF (2015)
Form 990-PF (2015)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b) How acquired
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1 a INVESTMENT ACCT- PUBLICY TRADED P   2015-12-31
b INVESTMENT ACCT- PUBLICY TRADED P   2015-12-31
c investment acct - dividends P   2015-12-31
d bob evans fund- PUBLICLY TRADED P   2015-12-31
e bob evans fund- PUBLICLY TRADED P   2015-12-31
bob evans fund - dividends P   2015-12-31
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 26,271   27,319 -1,048
b 227,634   225,687 1,947
c 1,263     1,263
d 17,506   16,998 508
e 66,666   60,438 6,228
4,858     4,858
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a       -1,048
b       1,947
c       1,263
d       508
e       6,228
      4,858
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 13,756
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 302,225 853,129 0.354255
2013 262,422 798,554 0.328621
2012 236,835 659,722 0.358992
2011 125,734 377,149 0.333380
2010 164,217 393,409 0.417421
2
Total of line 1, column (d) .....................
21.792669
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years . . .
3
0.358534
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
821,959
5
Multiply line 4 by line 3......................
5
294,700
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
230
7
Add lines 5 and 6........................
7
294,930
8
Enter qualifying distributions from Part XII, line 4.............
8
404,750
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2015)
Form 990-PF (2015)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 230
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 230
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 230
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 388
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 388
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 158
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet158 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletOH
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletBETH WORTHINGTON Telephone no.bullet (740) 374-6147

    Located atbullet138 PUTNAM STREETMARIETTAOH ZIP+4bullet45750
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    GEORGE BROUGHTON DIRECTOR
    1.00
    0 0 0
    3700 STATE ROUTE 60
    MARIETTA,OH45750
    TARA ABRAHAM DIRECTOR
    1.00
    0 0 0
    9000 SMITH MILL ROAD
    NEW ALBANY,OH43031
    KRISTI CLOSE GRANT COORDINATOR-VP
    1.00
    0 0 0
    138 PUTNAM STREET
    MARIETTA,OH45750
    BETH WORTHINGTON TREASURER/DIRECTOR
    1.00
    0 0 0
    138 PUTNAM STREET
    mARIETTA,OH45750
    CHUCK SULERZYSKI DIRECTOR
    1.00
    0 0 0
    138 PUTNAM STREET
    MARIETTA,OH45750
    STACI MATHENEY CHAIRMAN/PRESIDENT
    1.00
    0 0 0
    138 PUTNAM STREET
    MARIETTA,OH45750
    RYAN KIRKHAM SECRETARY
    1.00
    0 0 0
    138 PUTNAM STREET
    MARIETTA,OH45750
    TRACY JENSEN DIRECTOR
    1.00
    0 0 0
    138 PUTNAM STREET
    MARIETTA,OH45750
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    744,490
    b
    Average of monthly cash balances.......................
    1b
    89,986
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    834,476
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    834,476
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    12,517
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    821,959
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    41,098
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    41,098
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    230
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    230
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    40,868
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    40,868
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    40,868
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    404,750
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    404,750
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    230
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    404,520
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2014
    (c)
    2014
    (d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7 40,868
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 145,059
    b From 2011...... 107,209
    c From 2012...... 204,379
    d From 2013...... 233,405
    e From 2014...... 259,826
    fTotal of lines 3a through e........ 949,878
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 404,750
    a Applied to 2014, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2015 distributable amount..... 40,868
    e Remaining amount distributed out of corpus 363,882
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 1,313,760
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......
    0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...
    145,059
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......
    1,168,701
    10 Analysis of line 9:
    a Excess from 2011.... 107,209
    b Excess from 2012.... 204,379
    c Excess from 2013.... 233,405
    d Excess from 2014.... 259,826
    e Excess from 2015.... 363,882
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    KRISTI CLOSE
    138 PUTNAM STREE
    MARIETTA,OH45750
    (740) 374-6172
    bThe form in which applications should be submitted and information and materials they should include:
    GRANT APPLICATION
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    PRINCIPAL AREAS IN OHIO, WEST VIRGINIA, AND KENTUCKY.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    CITY OF POINT PLEASANT KRODEL PARK PLAYGROUND
    400 VIAND ST
    Point Pleasant,WV25550
      PC GRANT FOR ENTRACNCE TO KRODEL 10,000
    MAKE WELLSTON BEAUTIFUL
    825 S MICHIGAN AVE
    Wellston,OH45692
      PC GRANT TO REFURBISH DEPOT PARK 7,500
    WELLSTON CITY SCHOOL DISTRICT
    1E BROADWAY ST
    Wellston,OH45692
      PC TRACK - COMMUNITY TRACK 5,000
    PARKERSBURG CATHOLIC HIGH SCHOOL
    3201 FAIRVIEW AVE
    PARKERSBURG,WV26104
      PC GRANT FOR LIBRARY RENOVATION P 5,000
    FAMILY Y OF LANCASTER AND FAIRFIELD COUNTY
    465 W SIXTH AVE
    LANCASTER,OH43130
      PC FINAL INSTALLMENT OF 3-YEAR GR 5,000
    COSHOCTON COUNTY HEAD START INC
    3201 CR 16
    COSHOCTON,OH43812
      PC GRANT FOR RENOVATION PROJECT 5,000
    CHATFIELD COLLEGE
    20918 STATE ROUTE 251
    ST MARTIN,OH45118
      PC FOR CAPITAL CAMPAIGN 20,000
    MUSKINGUM VALLEY HEALTH CENTERS
    716 ADAIR AVE
    ZANESVILLE,OH43701
      PC GRANT TO SUPPORT HEATH AND WEL 5,000
    CHILDREN'S HUNGER ALLIANCE
    1105 SCHROCK RD SUITE 505
    COLUMBUS,OH43229
      PC GRANT FOR IMPROVEMENT OF NUTRI 5,000
    DAIRY BARN SOUTHEASTERN OHIO'S CULTURAL ARTS CENTER INC
    8000 DAIRY LANE/ PO BOX 747
    ATHENS,OH45701
      PC GRANT FOR CAPITAL CAMPAIGN 5,000
    HABITAT FOR HUMANITY CLINTON CO
    172 S SOUTH ST/ PO BOX 764
    WILMINGTON,OH45177
      PC GRANT FOR HELP BUILD TWO HOMES 5,000
    WILMINGTON COLLEGE
    1870 QUAKER WAY
    WILMINGTON,OH45177
      PC GRANT FOR SUPPORT OF THE CENTE 28,600
    MEMORIAL HEALTH FOUNDATION
    PO BOX 97
    MARIETTA,OH45750
      PC GRANT FOR ANNUAL CAPITAL CAMPA 10,000
    RUSSELL HIGH SCHOOL FOOTBALL BOOSTERS
    709 RED DEVIL LANE
    RUSSELL,KY41169
      PC DONATION TO FOOTBALL BOOSTERS 5,000
    EAST AKRON NEIGHBORHOOD DEVELOPMENT CORP
    1035 ROSEMARY BLVD SUITE J
    AKRON,OH44306
      PC GRANT FOR EDUCATION CLASSES 5,000
    MAIN STREET WILMINGTON
    100 W MAIN STREET
    WILMINGTON,OH45177
      PC GRANT FOR DEVELOPMENT OF DOWNT 5,000
    THE MEIGS UNITED METHODIST COOPERATIVE PARISH INC
    260 MULBERRY AVE
    POMEROY,OH45769
      PC GRANT FOR PURCHASE OF EMERGENC 5,000
    RONALD MCDONALD HOUSE CHARITIES OF THE TRI-STATE
    1500 17TH STREET
    HUNTINGTON,WV25701
      PC GRANT FOR FAMILY SPONSORSHIP A 5,000
    BROWN COUNTY CHRISTIAN ACADEMY
    116 COLLEGE AVE
    MT ORAB,OH45154
      PC GRANT FOR PURCHSE COMPUTERS 5,000
    MARIETTA COLLEGE
    215 FIFTH ST
    MARIETTA,OH45750
      PC GRANT FOR PRESIDENT'S CIRCLE 20,000
    UNITED WAY OF WASHINGTON COUNTY
    307 LL PUTNAM ST
    MARIETTA,OH45750
      PC SUPPORT COMMUNITY PROGRAMS 9,000
    UNITED WAY OF CLINTON CO INC
    100 W MAIN ST
    WILMINGTON,OH45177
      PC SUPPORT COMMUNITY PROGRAMS 5,000
    UNITED WAY OF GREATER CINCINNATI AREA
    2085 JAMES E SAULS SR DRIVE
    BATAVIA,OH45103
      PC SUPPORT COMMUNITY PROGRAMS 5,000
    ASHLAND AREA YMCA
    3232 OLD 13TH ST
    ASHLAND,KY41102
      PC SUPPORT COMMUNITY PROGRAMS 7,800
    MARIETTA COMMUNITY FOUNDATION
    PO BOX 77
    MARIETTA,OH45750
      PC SUPPORT COMMUNITY PROGRAMS 5,000
    CLINTON CO LEADERSHIP CLINTON
    140 EAST SUGARTREE ST
    WILMINGTON,OH45177
      PC SUPPORT COMMUNITY PROGRAMS 5,000
    MARIETTA COMMUNITY FOUNDATION
    PO BOX 77
    MARIETTA,OH45750
      PC GRANT FOR HUNGER SOLUTIONS FUN 6,000
    FOUNDATION FOR APPALACHIAN OHIO
    PO BOX 45635 PUBLIC SQUARE
    NELSONVILLE,OH45764
      PC YEAR 2 OF 5 YEAR PLEDGE 6,400
    THE CLEVELAND POPS ORCHESRA
    24000 MERCANTILE RD UNIT 8
    BEACHWOOD,OH44122
      PC GRANT TO SUPPORT ANNUAL PROGRA 3,000
    MARIETTA COMMUNITY FOUNDATION
    PO BOX 77
    MARIETTA,OH45750
      PC GRANT FOR DEVOLA MULTI-USE TRA 2,500
    THE LIGHTHOUSE INC
    PO BOX 215
    LANCASTER,OH43130
      PC GRAND TO ASSIST WITH RENOVATIO 2,500
    RUSSELL INDEPENDENT SCHOOLS ENDOWMENT FOUNDATION INC
    PO BOX 101
    RUSSELL COUNTY,KY41169
      PC GRANT FOR ENHANCING STUDENTS' 3,000
    JENNY WILEY DRAMA ASSOCIATION
    PO BOX 22
    PRESTONBURG,KY41653
      PC GRANT TO PROVIDE SCHOLARSHIPS 1,500
    AMERICAN CANCER SOCIETY TYLER COUNTY
    3901 BRISCOE RD STE 10
    PARKERSBURG,WV26104
      PC GRANT FOR RELAY FOR LIFE EVENT 1,000
    AMERICAN RED CROSS WEST VIRGINIA REGION
    220 8TH STREET
    PARKERSBURG,WV26101
      PC GRANT FOR DISASTER RELIEF 2,000
    BOYS & GIRLS OF THE WESTERN RESERVE
    889 JONATHAN AVENUE
    AKRON,OH44306
      PC GRANT FOR YOUTH & EDUCATION 2,500
    O'NEILL SENIOR CENTER
    333 FOURTH ST
    MARIETTA,OH45750
      PC GRANT FOR COPIER REPLACEMENT 1,000
    ARTSBRIDGE INC
    PO BOX 1706
    PARKERSBURG,WV26102
      PC GRANT FOR ARTS EDUCATION 2,500
    DOWNTOWN ATHENS KIWANIS SCHOLARSHIP FUND
    PO BOX 494
    ATHENS,OH45701
      PC FOR SCHOLARSHIPS YEAR 3 OF 5 Y 1,000
    VILLAGE OF MIDDLEPORT
    659 PEARL ST
    MIDDLEPORT,OH45760
      PC GRANT FOR LIGHTING FOR MULTI P 2,500
    THE CHILDREN'S LISTENING PLACE
    PO BOX 765
    PARKERSBURG,WV26102
      PC GRANT FOR PURCHASE OF PORTABLE 4,000
    CHRISTIAN YOUTH IN ACTION
    PO BOX 5125
    VIENNA,WV26105
      PC GRANT FOR HOUSE PAINTING PROGR 750
    COMMUNITY ACTION PROGRAM OF WASHINGTON-MORGAN COUNTIES OHIO
    218 PUTNAM ST
    MARIETTA,OH45750
      PC GRANT FOR BACK TO SCHOOL DRIVE 500
    TOWN & COUNTRY DAYS INC
    PO BOX 644
    NEW MARTINSVILLE,WV26155
      PC GRANT FOR TALENT SHOW AT LOCAL 1,000
    SOUTHEASTERN OHIO SYMPHONY ORCHESTRA
    163 STORMONT ST
    NEW CONCORD,OH43762
      PC GRANT FOR MUSICAL EDUCATION 2,000
    CALDWELL UNITED METHODIST CHURCH SACK LUNCH PROGRAM
    537 MAIN ST
    CALDWELL,OH43724
      PC GRANT FOR FREE SUMMER LUNCH 2,000
    COMMUNITY ACTION PROGRAM OF WASHINGTON-MORGAN COUNTIES OHIO
    218 PUTNAM ST
    MARIETTA,OH45750
      PC GRANT FOR ASSISTANCE IN PURCHA 2,500
    PARADE OF THE HILLS COMMUNITY ASSOCIATION
    PO BOX 157
    NELSONVILLE,OH45764
      PC GRANT FOR FESTIVAL TO RAISE FU 2,500
    WETZEL COUNTY EMERGENCY AMBULANCE AUTHORITY INC
    PO BOX 51520
    NEW MARTINSVILLE,WV26155
      PC GRANT FOR FUNDS TO BE USED TO 2,500
    PARAMOUNT ARTS CENTER
    1300 WINCHESTER AVE
    ASHLAND,KY41101
      PC GRANT FOR PROVIDING SCHOLARSHI 2,500
    EVE INC
    PO BOX 122
    MARIETTA,OH45750
      PC GRANT FOR ANNUAL CAMPAIGN 1,000
    LANCASTER FESTIVAL INC
    117 W WHEELING ST
    LANCASTER,OH43130
      PC GRANT FOR SUPPORT OF ARTISTS 2,500
    GOODWILL INDUSTRIES KYOWVA AREA INC
    1102 MEMORIAL BLVD/PO BOX 7365
    HUNTINGTON,WV25776
      PC GRANT FOR HIRE ATTIRE PROGRAM 1,000
    YMCA OF PARKERSBURG
    1800 30TH ST
    PARKERSBURG,WV26101
      PC GRANT FOR STRONG KIDS CAMPAIGN 1,000
    THE WORKS OHIO CENTER FOR HISTORY ART & TECHNOLOGY
    55 SOUTH FRIST ST/PO BOX 721
    NEWARK,OH43058
      PC GRANT FOR SUPPORT OF FIREWORKS 2,500
    YMCA OF LICKING COUNTY
    470 W CHURCH ST
    NEWARK,OH43055
      PC GRANT FOR HEALTHY KIDS NETWORK 1,000
    WEST AFTER SCHOOL CENTER
    620 GARFIELD AVE
    LANCASTER,OH43130
      PC GRANT FOR FUNDS TO BE USED TO 1,000
    UNLIMITED FUTURE INC
    1650 EIGHTH AVE
    HUNTINGTON,WV25703
      PC GRANT FOR TRAINING & TECHNICAL 2,000
    WV INTERSTATE FAIR & EXPOSITION
    PO BOX 361
    MINERAL WELLS,WV26150
      PC GRANT FOR HELP WITH EXPANSION 2,500
    YMCA ATTN SUZY ZUMWALDE
    300 7TH ST
    MARIETTA,OH45750
      PC GRANT FOR ANNUAL STRENGTHENING 3,000
    BELPRE PERFORMING ARTS BOOSTERS
    PO BOX 746
    BELPRE,OH45714
      PC GRANT FOR PURCHSE OF HIGH SCHO 3,000
    POMERENE FINE ARTS CENTER
    317 MULBERRY ST
    COSHOCTON,OH43812
      PC GRANT FOR CREATION OF AN ART P 2,500
    PANTHER PARENTS ATHLETIC BOOSTERS CLUB
    PO BOX 1119
    NORTON,OH44203
      PC GRANT FOR PURCHASE OF TURF FIE 1,000
    CEDAR INC
    PO BOX 2152
    PIKEVILLE,KY41502
      PC GRANT FOR COAL EDUCATION 1,000
    WASHINGTON-MORGAN COMMUNITY ACTION
    PO BOX 144
    MARIETTA,OH45750
      PC GRANT FOR SECRET SANTA 1,000
    BETSEY MILLS CLUB
    300 FOURTH STREET
    MARIETTA,OH45750
      PC GRANT FOR YEAR FOUR 4,000
    UNITED APPEAL OF ATHENS COUNTY
    469 RICHLAND AVE
    ATHENS,OH45701
      PC SUPPORT COMMUNITY PROGRAMS 1,000
    UNITED WAY OF FAIRFIELD COUNTY
    PO BOX 2299
    LANCASTER,OH43130
      PC SUPPORT COMMUNITY PROGRAMS 2,000
    UNITED WAY OF GALLIA COUNTY
    PO BOX 771
    GALLIPOLIS,OH45631
      PC 2015 GRANT 1,000
    UNITED WAY OF GUERNSEYNOBLE COUNTIES
    PO BOX 5
    CAMBRIDGE,OH43725
      PC SUPPORT COMMUNITY PROGRAMS 1,000
    UNITED WAY OF NORTHEASTER KY ATTN JERRI COMPTON
    PO BOX 2285
    ASHLAND,KY41105
      PC SUPPORT COMMUNITY PROGRAMS 2,000
    UNITED WAY OF MEIGS COUNTY
    PO BOX 424
    MIDDLEPORT,OH45760
      PC SUPPORT COMMUNITY PROGRAMS 1,000
    UNITED WAY OF MUSKINGUM PERRY & MORGAN COUNTIES
    526 PUTNAM AVE
    ZANESVILLE,OH43701
      PC SUPPORT COUMMUNITY PROGRAMS 1,000
    UNITED WAY OF THE MID OHIO VALLEY
    520 GRAND CENTRAL AVE UNIT 201
    VIENNA,WV26105
      PC SUPPORT COMMUNITY PROGRAMS 3,500
    UNITED WAY OF RIVER CITIES
    820 MADISON AVE
    HUNTINGTON,WV25704
      PC SUPPORT COMMUNITY PROGRAMS 2,500
    UNITED WAY OF THE UPPER OHIO VALLEY
    51 11TH ST
    WHEELING,WV26003
      PC SUPPORT COMMUNITY PROGRAMS 1,000
    UNITED WAY OF COSHOCTON CO INC
    402 MAIN ST
    COSHOCTON,OH43812
      PC SUPPORT COMMUNITY PROGRAMS 2,000
    UNITED WAY OF TUSCARAWAS CO INC
    PO BOX 525
    NEW PHILADELPHIA,OH44663
      PC SUPPORT COMMUNITY PROGRAMS 1,000
    UNITED WAY OF LICKING CO OHIO
    PO BOX 4490
    NEWARK,OH43058
      PC SUPPORT COMMUNITY PROGRAMS 1,000
    UNITED WAY OF KNOX CO OH INC
    110 EAST HIGH ST
    MOUNT VERNON,OH43050
      PC SUPPORT COMMUNITY PROGRAMS 1,000
    UNITED WAY OF SUMMIT CO OH
    90 NORTH PROSPECT ST
    AKRON,OH44304
      PC SUPPORT COMMUNITY PROGRAMS 1,000
    UNITED FUND OF JACKSON COUNTY
    PO BOX 242
    JACKSON,OH45640
      PC SUPPORT COMMUNITY PROGRAMS 1,000
    UNITED AWAY OF GREATER CLEVELAND
    1331 EUCLID AVE
    CLEVELAND,OH44115
      PC SUPPORT COMMUNITY PROGRAMS 1,000
    UNITED WAY OF WARREN COUNTY OHIO
    645 OAK ST
    LEBANON,OH45036
      PC SUPPORT OF COMMUNITY PROGRAMS 1,500
    AKRON CANTON REGIONAL FOOD BANK
    350 OPPORTUNITY PARKWAY
    AKRON,OH44307
      PC SUPPORT COMMUNITY PROGRAMS 1,500
    FRIENDS AND NEIGHBORS
    PO BOX 26
    COOLVILLE,OH45723
      PC SUPPORT OF COMMUNITY PROGRAMS 1,000
    HOCKING ATHENS PERRY COMMUNITY ACTION
    PO BOX 220
    GLOUSTER,OH45732
      PC SUPPORT COMMUNITY PROGRAMS 1,000
    CLERMONT COUNTY COMMUNITY SERVICES
    3003 HOSPITAL DR
    BATAVIA,OH45103
      PC SUPPORT COMMUNITY PROGRAMS 750
    WEST FORK BAPTIST CHURCH WEST FORD FOOD PANTRY
    10127 WEST FORK RD
    GEORGETOWN,OH45121
      PC SUPPORT COMMUNITY PROGRAMS 750
    MT ORAB CHURCH OF CHRIST SMITH HOUSE FOOD PANTRY
    400 SMITH RD
    MT ORAB,OH45154
      PC SUPPORT COMMUNITY PROGRAMS 750
    INTER PARISH MINISTRY INC
    3RD AND NORTH ST
    BATAVIA,OH45103
      PC SUPPORT COMMUNITY PROGRAMS 750
    GREATER CLEVELAND FOOD BANK INC
    15500 S WATERLOO RD
    CLEVELAND,OH44110
      PC SUPPORT COMMUNITY PROGRAMS 2,500
    THE FREESTORE FOOD BANK FOUNDATION
    1141 CENTRAL PARKWAY
    CINCINATTI,OH45202
      PC SUPPORT COMMUNITY PROGRAMS 2,000
    CLINTON COUNTY FOUNDATION
    290 PRAIRIE AVE
    WILMINGTON,OH45177
      PC SUPPORT COMMUNITY PROGRAMS 750
    CLINTON COUNTY SERVICES FOR THE HOMELESS INC
    36 GALLUP ST
    WILMINGTON,OH45177
      PC SUPPORT COMMUNITY PROGRAMS 750
    CLINTON COUNTY COMMUNITY ACTION FOOD PANTRY
    789 N NELSON AVE
    WILMINGTON,OH45177
      PC SUPPORT COMMUNITY SUPPORT 750
    SAMARITAN OUTREACH SERVICES
    PO BOX 242
    HILLSBORO,OH45133
      PC SUPPORT COMMUNITY PROGRAMS 750
    OHIO DISTRICT OF PENTECOSTAL CHURCH OF GOD
    PO BOX 423
    COSHOCTON,OH43812
      PC SUPPORT COMMUNITY PROGRAMS 1,500
    SALVATION ARMY - MT VERNON
    206 EAST OHIO AVE
    MOUNT VERNON,OH43050
      PC SUPPORT COMMUNITY PROGRAMS 1,000
    INTERCHURCH SOCIAL SERVICES
    306 WEST GAMBIER ST
    MOUNT VERNON,OH43050
      PC SUPPORT COMMUNITY PROGRAMS 1,000
    SALVATION ARMY EMERGENCY PANTRY
    PO BOX 74
    NEWARK,OH43058
      PC SUPPORT COMMUNITY PROGRAMS 1,000
    BALTIMORETHURSTON AREA FOOD PANTRY
    1760 W MARKET ST
    BALTIMORE,OH43105
      PC SUPPORT COMMUNITY PROGRAMS 1,500
    LUTHERAN SOCIAL SERVICES FAIRFIELD COUNTY FOOD PANTRY
    2045 E MAIN ST
    LANCASTER,OH43130
      PC FOOD PANTRY 1,500
    LUTHERAN SOCIAL SERVICES CALDWELL FOOD PANTRY
    315 MAIN ST
    CALDWELL,OH43724
      PC FOOD PANTRY 2,000
    EASTSIDE COMMUNITY MINISTRY INC
    PO BOX 965
    ZANESVILLE,OH43702
      PC SUPPORT OPERATIONS 1,500
    MORGAN COUNTY MINISTRIES
    PO BOX 303
    MCCONNELSVILLE,OH43756
      PC SUPPORT OPERATIONS 2,000
    GRACE PANTRY
    1101 STEUBENVILLE AVE
    CAMBRIDGE,OH43725
      PC FOOD PANTRY 1,000
    COMMUNITY CUPBOARD FOOD PANTRY
    110 MILL ST/ PO BOX 317
    PLEASANT CITY,OH43778
      PC FOOD PANTRY 500
    HELPING HANDS OF GREENUP
    PO BOX 633
    GREENUP,KY41144
      PC SUPPORT OPERATIONS 1,500
    ASHLAND FIRST UNITED METHODIST CHURCH
    1811 CARTER AVE
    ASHLAND,KY41101
      PC SUPPORT OPERATIONS 2,000
    6TH AVE CHURCH OF CHRIST
    530 20TH ST
    HUNTINGTON,WV25703
      PC SUPPORT OPERATIONS 2,000
    FIRST CONGREGATIONAL CHURCH
    318 FRONT ST
    MARIETTA,OH45750
      PC SUPPORTS OPERATIONS 1,000
    NEWPORT COMMUNITY FOOD PANTRY
    245 GREENE ST
    NEWPORT,OH45768
      PC FOOD PANTRY 1,000
    LOWELL AREA MISSION BASKETFOOD PANTRY INC
    305 4TH ST
    LOWELL,OH45744
      PC FOOD PANTRY 1,000
    ADAMS HOUSE MINISTIES
    PO BOX 93
    MIDDLEBOURNE,WV26149
      PC SUPPORT OPERATIONS 1,500
    TRI COUNTY FOOD PANTRY
    PO BOX 41
    LOWER SALEM,OH45745
      PC FOOD PANTRY 1,000
    MEIGS COOPERATIVE PARISH
    260 MULBERRY AVE/PO BOX 171
    POMEROY,OH45769
      PC SUPPORT OPERATIONS 1,500
    SERENITY HOUSE
    PO BOX 454
    GALLIPOLIS,OH45631
      PC SUPPORTS OPERATIONS 1,500
    CROSSLIGHT OF HOPE
    33483 HUNTINGTON RD
    ASHTON,WV25503
      PC SUPPORT OPERATIONS 1,000
    POINT PLEASANT PRESBYTERIAN CHURCH - SERVICE COMMITTEE
    PO BOX 415
    Point Pleasant,WV25550
      PC SUPPORTS OPERATIONS 1,000
    HOPE UNITED METHODIST CHURCH MY BROTHER'S PLACE
    PO BOX 620
    WELLSTON,OH45692
      PC SUPPORT OPERATIONS 1,000
    FOOD PROGRAM AND CLOTHESLINE OF JACKSON
    210 PEARL ST
    JACKSON,OH45640
      PC SUPPORT OPERATIONS 1,000
    CATHOLIC CHARITIES WEST VIRGINIA INC
    2000 MAIN ST
    WHEELING,WV26003
      PC SUPPORT OPERATIONS 1,500
    OLD MAN RIVERS
    703 PIKE ST
    PARKERSBURG,WV26101
      PC SUPPORT OPERATIONS 1,500
    BELPRE AREA MINISTRIES
    PO BOX 101
    BELPRE,OH45714
      PC SUPPORT OPERATIONS 1,000
    NFS MINISTRIES INCLATROBE STREET MISSION
    PO BOX 91
    PARKERSBURG,WV26101
      PC SUPPORT OPERATIONS 1,000
    FRANKLIN AREA COMMUNITY SERVICES
    345 S MAIN ST
    FRANKLIN,OH45005
      PC SUPPORT OPERATIONS 750
    INTERFAITH HOSPITALITY OF WARREN COUNTY
    203 E WARREN ST
    LABANON,OH45036
      PC SUPPORT OPERATIONS 750
    NORTAN MUSIC BOOSTERS ASSOC
    PO BOX 1335
    NORTON,OH44203
      PC SUPPORT OPERATION 500
    MASON CO FAIR INC
    PO BOX 334
    Point Pleasant,WV25550
      PC SUPPORT OPERATION 2,500
    MHS ALUMNI & FRIENDS FOUNDATION
    100 LYNN AVE
    MARIETTA,OH45750
      PC SUPPORT OPERATIONS 3,000
    HEALTH ALLIANCE OF CLINTON CO
    PO BOX 881
    WILMINGTON,OH45177
      PC SUPPORTS OPERATIONS 2,500
    TYLER CO FAMILY RESOURCE NETWORK
    PO BOX 187
    MIDDLEBOURNE,WV26149
      PC SUPPORTS OPERATIONS 500
    ELY CHAPMAN EDUCATION FOUNDATION
    403 SCAMMEL ST
    MARIETTA,OH45750
      PC SUPPORTS OPERATIONS 2,500
    FOOD PANTRY NETWORK OF LICKING COUNTY
    823 STEELE AVE
    NEWARK,OH43055
      PC GRANT FOR FOOD PANTRY 2,500
    DAUGHTERY CODY- CAMBRIDGE OH
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR MUSKINGUM UNIV 1,000
    ROBERTS KAITLYNN-BYESVILLE OH
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR UNIV OF MOUNT 1,000
    MATESIC DERIC- SENECAVILLE OH
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR MUSKINGUM UNIV 1,000
    YANICO EMILY- CAMBRIDGE OH
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR OU 1,000
    STONER GABRIELLA- NEW CONCORD OH
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR CLEVELAND STAT 1,000
    PUGH JOSEPH- STOCKPORT OH
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR MARIETTA COLLE 2,000
    SHOOK ALEC- ZANESVILLE OH
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR MARIETTA COLLE 2,000
    RILEY MICHAILA- ZANESVILLE OH
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR MARIETTA COLLE 2,000
    BOSLEY JUSTIN- PARKERSBURG WV
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR WVU 1,250
    SIMS ANDREW- MARIETTA OH
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR OVU 1,250
    EVANS CECILY- MINERAL WELLS WV
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR UNIV CHARLESTO 1,000
    COOK CORTNEY- CATTLESBURG KY
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR ASHLAND COMMUN 1,000
    OPEL TIA- PARKERSBURG WV
    PEOPLES BANCORP FOUNDATION
    MARIETTA,WV45750
    NONE I SCHOLARSHIP FOR WVU 1,000
    QUINN WILLIAM- AMESVILLE OH
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR OU 1,000
    HAMMON ANGELA- THORNSVILLE OH
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR MOUNT VERNON N 1,000
    MORAN CONNOR- 2013
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP FOR OU 1,000
    CURRY ARIEL-2014
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP 1,000
    CARPENTER ALLISON- 2014
    PEOPLES BANCORP FOUNDATION
    MARIETTA,OH45750
    NONE I SCHOLARSHIP- 1,000
    Total .................................bullet 3a 404,550
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........
             
    4 Dividends and interest from securities....     14 16,018  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property
             
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............
        18 13,756  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue:
    aREPAYMENT OF PRIOR YEAR GRANTS
          1,500  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 31,274 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    1331,274
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2015
    Name of the organization
    PEOPLES BANCORP FOUNDATION
     
    Employer identification number

    30-0222364
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    PEOPLES BANCORP FOUNDATION
     
    Employer identification number
    30-0222364
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
    peoples bank na
     

       
    138 putnam street
     
    marietta, OH45750

    $ 350,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    2
     
     

    Sally S evans ira  
    410 front street apt 1
     
    marietta, OH45750

    $ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

       
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    PEOPLES BANCORP FOUNDATION
     
    Employer identification number

    30-0222364
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a)
    No.from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    PEOPLES BANCORP FOUNDATION
     
    Employer identification number

    30-0222364
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    PEOPLES BANCORP FOUNDATION
    EIN:
    30-0222364
    Name of Bond End of Year Book Value End of Year Fair Market Value
    INVESTMENTS - CORPORATE BONDS 257,229 250,846

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    PEOPLES BANCORP FOUNDATION
    EIN:
    30-0222364
    Name of Stock End of Year Book Value End of Year Fair Market Value
    INVESTMENTS - CORPORATE STOCK 298,301 352,801

    TY 2015 OtherExpensesSchedule
    Name:
    PEOPLES BANCORP FOUNDATION
    EIN:
    30-0222364
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE FILING FEE 200 0   200


    TY 2015 OtherIncomeSchedule2
    Name:
    PEOPLES BANCORP FOUNDATION
    EIN:
    30-0222364
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    REPAYMENT OF PRIOR YEAR GRANTS 1,500   1,500


    TY 2015 OtherIncreasesSchedule
    Name:
    PEOPLES BANCORP FOUNDATION
    EIN:
    30-0222364
    Description Amount
    TIMING DIFFERENCE TRANSACTIONS 643


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    PEOPLES BANCORP FOUNDATION
    EIN:
    30-0222364
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FIDUCIARY FEE 6,792 6,792   0


    TY 2015 TaxesSchedule
    Name:
    PEOPLES BANCORP FOUNDATION
    EIN:
    30-0222364
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    taxes 350 0   0